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Design Cluster randomised controlled trial. Setting 70 villages clusters in the Eastern Cape province of South Africa. Participants men and women aged years, who were mostly attending schools. Intervention Stepping Stones, a 50 hour programme, aims to improve sexual health by using participatory learning approaches to build knowledge, risk awareness, and communication skills and to stimulate critical reflection. Villages were randomised to receive either this or a three hour intervention on HIV and safer sex. Main outcome measures Primary outcome measure: Stepping Stones significantly improved a number of reported risk behaviours in men, with a lower proportion of men reporting perpetration of intimate partner violence across two years of follow-up and less transactional sex and problem drinking at 12 months. In women desired behaviour changes were not reported and those in the Stepping Stones programme reported more transactional sex at 12 months. Introduction Change in sexual behaviour is the cornerstone of HIV prevention, yet relatively little research and development has been invested in interventions aimed at behaviour change in any setting. The incidence of herpes simplex type 2 virus HSV-2 was lower in the group that had only a behavioural intervention but not in the group that had both this and treatment for sexually transmitted infections, and so the authors do not attribute the effect in the behavioural arm to success of their intervention.

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Romeos receive answers online about health and best practices for safer sex; many of the health supporters speak more than one language. Controversies on ROMEO[ edit ] Safe sex[ edit ] ROMEO BV offers general Dating Tips [8] to help protect user profiles, their privacy, actions to take against scammers and fakers, and how to avoid uncomfortable situations, as well as before, during and after dating suggestions. There is no censoring of user profiles that promote unsafe sex or barebacking , but the company supports users stating their position in their profiles regarding safer sex.

The online supporters are trained in questions of health and healthcare, and all user inquiries are dealt with in the strictest confidence[ citation needed ].

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7 Steps To Go From A Casual To A Committed Relationship